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Members

Thank you for applying to become a Member of the Peoria County Bar Association. Once you have completed your application and sent it to us, please proceed to www.peoriabar.org/product/membership-dues section of the website to submit "Membership Dues." If you have any questions, please contact us by telephone (309) 674-6049 or email: pcba@mtco.com.

Name

Date of Birth

Month

Day

Year

Place of Birth

Gender

Male

Female

ARDC #

Firm Telephone

Firm

Firm

Address

City

State

Zip

Residence

Address

City

State

Zip

Residence Telephone

Email Address

Mailings should go to

Home

Business

Colleges

College

Degree Received

Date

College

Month

Day

Year

Law School

Month

Day

Year

Bar Admissions

Illinois

Month

Day

Year

Other States

List states and month/year for each

Fed

District and Month/Year

Concentration

Please list any areas of expertise or particular interest, which might be useful to the PCBA

Membership in Professional Organizations

Awards, Honors or Articles

Foreign Languages Spoken

Dislaimers

Are you a practicing attorney or law student

I certify that I am a licensed attorney, authorized to practice law, and hereby apply for membership in the Peoria County Bar Association, and if elected, agree to abide by its laws, rules and regulations.

I certify that I am a law school student, and hereby apply for membership in the Peoria County Bar Association, and if elected, agree to abide by its laws, rules and regulations.

Have you been a member of PCBA in the past?

Yes

No

Committee Preferences

Committee

Please remember that your preferences must be submitted to the PCBA each year, as we begin with a new slate each fiscal year.